Individual
BERNARD A ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-4664
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-4664
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
ME60117
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME60117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0623202-00
—
FL
Enumeration date
07/07/2006
Last updated
02/25/2013
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